Remote Clearance Specialist

A company is looking for a Clearance Specialist to support Specialty Infusion Pharmacy needs. Key Responsibilities Process new referrals, including verifying patient eligibility and coordinating benefits Prepare, submit, and follow up on payer authorization requests Communicate with patients and referral sources regarding referral status and coverage updates Required Qualifications High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word

Apr 7, 2025 - 19:25

A company is looking for a Clearance Specialist to support Specialty Infusion Pharmacy needs. Key Responsibilities Process new referrals, including verifying patient eligibility and coordinating benefits Prepare, submit, and follow up on payer authorization requests Communicate with patients and referral sources regarding referral status and coverage updates Required Qualifications High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word